Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.67 / $840.46 / $3,509.68	Facility		$62.67	$840.46	$3,509.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $150.00 / $427.22	Professional		$55.93	$150.00	$427.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $60.67 / $94.04	Professional		$60.67	$60.67	$94.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.08 / $156.90 / $437.00	Facility		$133.08	$156.90	$437.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $153.66 / $333.80	Professional		$57.79	$153.66	$333.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $227.87 / $338.05	Professional		$147.34	$227.87	$338.05
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $322.00 / $1,008.00	Facility		$214.00	$322.00	$1,008.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $187.19 / $346.17	Professional		$125.24	$187.19	$346.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $222.66 / $274.14	Professional		$133.94	$222.66	$274.14